Well-trained service advocate with several years of experience helping others. Excellent decision-making and time management skills. Sound knowledge of handling escalated issues quickly. Adapts quickly and remains calm under pressure in stressful circumstances.
Overview
12
12
years of professional experience
Work History
Provider Service Advocate
United Healthcare
Henderson, Nv
10.2022 - Current
Ensured all service requests were completed within established timelines while meeting quality standards.
Handled Provider complaints in a professional manner, escalating as necessary to ensure resolution.
Assisted with claims, denials, and appeals using multiple programs.
Verified with providers, benefits, and eligibility insurance information.
Intake coordination.
Updated and generated prior authorizations.
Associate Patient Care Coordinator
United Health Group, Optum
Henderson, NV
08.2016 - 10.2022
Assisted with scheduling patient appointments, verifying insurance coverage and obtaining authorizations.
Provided assistance to patients in understanding their medical bills and insurance policies.
Maintained accurate patient records, ensuring accuracy of all data entered into the system.
Coordinated care between multiple providers, including physicians, specialists, pharmacists and other healthcare professionals.
Conducted follow-up calls to ensure that patients were receiving appropriate care and services.
Maintained confidentiality of all patient information according to HIPAA guidelines.
Scheduled evaluations and procedures for patients.
Medical Assistant
Goodnight Pediatrics
Henderson, NV
11.2012 - 12.2015
Assisted physicians with patient care by taking vital signs, patient histories and preparing patients for examinations.
Administered injections, medications and treatments as directed by the physician.
Provided assistance to medical staff in performing minor surgical procedures.
Prepared laboratory specimens for analysis and organized lab results for review by the physician.
Maintained accurate medical records through filing, charting, transcription and data entry into electronic health record system.
Answered phones, scheduled appointments and managed patient flow while greeting visitors in a professional manner.
Ordered medical supplies, maintained inventory logs and restocked exam rooms when needed.
Conducted EKGs, spirometry testing, audiograms and other diagnostic tests as requested by the physician.
Collected samples from patients for laboratory testing purposes.
Ensured that all instruments used during exams were cleaned properly after each use according to established protocols.
Kept examination rooms clean, stocked with necessary supplies and prepared for incoming patients.
Adhered to HIPAA regulations regarding safeguarding confidential patient information at all times.
Prepared treatment rooms for patients by cleaning surfaces and restocking supplies.
Handled general office duties to support administrative staff during peak hours.